Organization Active NPI

Bruce W Bielinski MD a Medical Corp

  • Psychiatry Physician
  • Sherman Oaks, CA
National Provider Identifier
1063693380
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A22152 Issued in CA
Legal business name
BRUCE W BIELINSKI MD A MEDICAL CORP
Practice address
4419 Van Nuys Blvd
#400
Sherman Oaks, CA 91403-2910
Phone
(818) 501-4202
Fax
(818) 789-0286
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bruce W Bielinski, MD
Title
President
Phone
(818) 501-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A22152 CA Primary

Addresses

Primary practice location

4419 Van Nuys Blvd
#400
Sherman Oaks, CA 91403-2910

Mailing address

15133 Magnolia Blvd
Unit E
Sherman Oaks, CA 91403-1228
Phone (818) 501-4202

National Provider Directory

National Provider Directory

Locations

4419 Van Nuys Blvd
Ste 400
Sherman Oaks, CA 91403
Phone (818) 501-4202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1063693380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15133 MAGNOLIA BLVD",
            "address_2": "UNIT E",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031228",
            "telephone_number": "818-501-4202",
            "fax_number": "818-789-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD",
            "address_2": "#400",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032910",
            "telephone_number": "818-501-4202",
            "fax_number": "818-789-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE W BIELINSKI MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BIELINSKI",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-501-4202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A22152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.